A 34 year-old women presents to the clinic with complaints copious foul-smelling vaginal discharge. Patient states that she has regular intercourse without the use of barrier contraception. Physical exam is significant for a friable/bleeding cervical os with associated bleeding and purulent discharge. There is no cervical motion tenderness, uterine tenderness, or adnexal tenderness on clinical […]
An 18 year-old male patient presents to the ER with sudden onset excruciating pain in the right scrotum following weight-lifting exercises. Patient states that he was at the gym working out when the symptoms appeared. This has been going on for the past 4 hours without relief. Physical exam demonstrates that the right testis appears […]
A 35 year old male with no past medical history present to the clinic with complaints of pain with urination, increased urinary frequency, and increased urinary urgency. Patient states that he regularly has unprotected intercourse. Physical exam is positive for purulent discharge from the urethral opening. There is no pain or physical abnormality of the […]
A 25 year-old woman presents to the clinic with complaints of infertility. She describes having irregular periods her entire life. Physical exam is significant for hormonal cystic-appearing acne along the jaw line and male-pattern facial hair. Lab results are positive for elevated levels of testosterone and the development of pre-diabetes. Ultrasound of the ovaries demonstrate […]
A parent brings their 3-year-old child to the nurse practitioner to ask whether it is normal for the child to still have an umbilical hernia. The hernia is easily reducible and has not increased in size. The appropriate response by the nurse practitioner is that: • A – this is a normal finding. It will […]
A 45 year old African American female presents to your clinic for the evaluation of hair loss. On examination you note that the patient has thinning of her hair of her temples bilaterally. There is no erythema or scale. There is no evidence of scarring. Further questioning reveals that since she was a young child, […]